A 55-year-old man on ICU has severe metabolic acidosis: pH 6.95, PaCO2 2.5 kPa, HCO3 4 mmol/L, lactate 15 mmol/L, potassium 6.8 mmol/L with broad QRS ...

Question

A 55-year-old man on ICU has severe metabolic acidosis: pH 6.95, PaCO2 2.5 kPa, HCO3 4 mmol/L, lactate 15 mmol/L, potassium 6.8 mmol/L with broad QRS on ECG. He has oliguric AKI. What is the MOST urgent indication for immediate RRT in this patient?

Accepted Answer

Life-threatening hyperkalaemia with ECG changes refractory to medical management

Answer

Lactate clearance

Answer

Urea clearance

Answer

Correction of metabolic acidosis as the sole indication

Answer

Fluid removal

uk-fficm MCQ (SBA): Acute Kidney Injury

A 55-year-old man on ICU has severe metabolic acidosis: pH 6.95, PaCO2 2.5 kPa, HCO3 4 mmol/L, lactate 15 mmol/L, potassium 6.8 mmol/L with broad QRS on ECG. He has oliguric AKI. What is the MOST urgent indication for immediate RRT in this patient?